Evidence map›Paper›PMID 33201227›Full record

Trial reportSocial cognitive and affective neuroscience2020

Impact of exercise on older adults' mood is moderated by sleep and mediated by altered brain connectivity.

Alfonso J Alfini, Junyeon Won, Lauren R Weiss, Casandra C Nyhuis, Alexander J Shackman, Adam P Spira, J Carson Smith

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Social cognitive and affective neuroscience, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Exploring Factors Associated with Sleep Quality After Lung Transplantation.Progress in transplantation (Aliso Viejo, Calif.) · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Alfonso J AlfiniDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
Junyeon WonDepartment of Kinesiology, University of Maryland School of Public Health, College Park, MD 20742, USA.
Lauren R WeissDepartment of Kinesiology, University of Maryland School of Public Health, College Park, MD 20742, USA.
Casandra C NyhuisDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
Alexander J ShackmanNeuroscience and Cognitive Science Program, University of Maryland, College Park, MD 20742, USA.
Adam P SpiraDepartment of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
J Carson SmithDepartment of Kinesiology, University of Maryland School of Public Health, College Park, MD 20742, USA.
University of Maryland, College Park · USJohns Hopkins University · US

Funding

Research Training in Age-Related Cognitive DisordersT32AG027668 · NIA · JOHNS HOPKINS UNIVERSITY · PI MARILYN S. ALBERT · 2007 to 2026
$6.3M
Using Multimodal Neuroimaging and Real-World Experience Sampling to Understand Negative Affect and Paranoid Ideation in PsychosisR01MH121409 · NIMH · UNIV OF MARYLAND, COLLEGE PARK · PI BLANCHARD, JACK J., SHACKMAN, ALEXANDER JOSEPH · 2020 to 2024
$3.7M
Prospective Determination of Neurobehavioral Risk for the Development of Emotion DisordersR01MH107444 · NIMH · UNIV OF MARYLAND, COLLEGE PARK · PI SHACKMAN, ALEXANDER JOSEPH · 2016 to 2020
$3.4M
NIA NIH HHS T32 AG027668
6 · The paper itself

Abstract

Older adults comprise the fastest growing global demographic and are at increased risk of poor mental health outcomes. Although aerobic exercise and sleep are critical to the preservation of emotional well-being, few studies have examined their combined mood-enhancing effects, or the potential neural mechanisms underlying these effects. Here, we used a randomized crossover design to test the impact of acute exercise on mood and the intrinsic functional connectivity (iFC) of the cingulo-opercular network in physically healthy older adults. Wrist actigraphy provided objective indices of sleep. Results revealed that 30 min of moderate-intensity aerobic exercise acutely enhanced positive affect (PA) and reduced iFC between the cingulo-opercular network and the hippocampus. Both effects were magnified among older adults with greater sleep disturbance. Exercise-induced changes in hippocampal iFC mediated relations between sleep disturbance and exercise-induced increases in PA. These findings provide evidence that aerobic exercise enhances mood, that it does so by altering connectivity between the anterior insula-a key hub in the cingulo-opercular network-and the hippocampus and that lower sleep quality is a stronger predictor of these effects among older adults. These observations underscore the benefits of moderate-intensity exercise-a safe and scalable behavioral intervention-and provide new clues about the neural circuitry underlying the interactive effects of sleep and exercise on mood.

Indexed as

AffectAgedBrainBrain MappingCross-Over StudiesEmotionsExerciseFemaleHumansMaleMiddle AgedSleepacute exerciseaffectcingulo-opercular networksleep actigraphy

Identifiers

PMID33201227
PMCPMC7745152
OpenAlexW3102357666

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.